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1.
Clin Exp Allergy ; 42(10): 1529-39, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22994350

RESUMO

BACKGROUND: Multiple plant-food sensitizations with a complex pattern of clinical manifestations are a common feature of lipid transfer protein (LTP)-allergic patients. Component-resolved diagnosis permits the diagnosis of the allergen sensitization profile. OBJECTIVE: We sought to clinically characterize and describe the plant-food and pollen molecular sensitization profile in patients with LTP syndrome. METHODS: Forty-five subjects were recruited, after being diagnosed with multiple plant-food allergies sensitized to LTP, but not to any other plant-food allergen, according to the molecular allergen panel tested (Pru p 3 (LTP), Pru p 1 (Bet v 1-like), Pru p 4 (profilin) and those included in a commercial microarray of 103 allergenic components). IgE-mediated food-allergy symptoms and pollinosis were collected. Patients were skin prick tested with a plant-food and pollens panel, and specific IgE to Tri a 14 was evaluated. RESULTS: A heterogeneous group of plant-foods was involved in local and systemic symptoms: oral allergy syndrome (75.6%), urticaria (66.7%), gastrointestinal disorders (55.6%) and anaphylaxis (75.6%), 32.4% of which were cofactor dependent (Non-Steroidal Anti-inflammatory Drugs, exercise). All tested subjects were positive to peach and Pru p 3, Tri a 14 and to some of the LTPs included in the microarray. Pollinosis was diagnosed in 75.6% of subjects, with a broad spectrum of pollen and pollen-allergen sensitization. Plane tree and mugwort were the statistically significant pollens associated with Pru p 3. CONCLUSIONS AND CLINICAL RELEVANCE: Several plant-foods, taxonomically unrelated, independent of peach involvement, are implicated in LTP syndrome. Local symptoms should be evaluated as a risk marker for anaphylaxis because they are frequently associated with cofactor-dependent anaphylaxis. The association of these symptoms with pollinosis, especially plane tree pollinosis, could be part of this syndrome in our area.


Assuntos
Alérgenos/imunologia , Antígenos de Plantas/imunologia , Proteínas de Transporte/imunologia , Hipersensibilidade Alimentar/diagnóstico , Proteínas de Plantas/imunologia , Plantas/imunologia , Pólen/imunologia , Adolescente , Adulto , Asma/diagnóstico , Asma/etiologia , Asma/imunologia , Feminino , Hipersensibilidade Alimentar/etiologia , Hipersensibilidade Alimentar/imunologia , Hipersensibilidade Alimentar/fisiopatologia , Humanos , Imunoglobulina E/sangue , Masculino , Pessoa de Meia-Idade , Plantas/classificação , Rinite Alérgica Sazonal/diagnóstico , Rinite Alérgica Sazonal/etiologia , Rinite Alérgica Sazonal/imunologia , Testes Cutâneos , Síndrome , Adulto Jovem
2.
J Investig Allergol Clin Immunol ; 21(2): 81-92; quiz 94, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21462797

RESUMO

Baker's asthma is a frequent occupational allergic disease caused mainly by inhalation of cereal flour, particularly wheat flour. This review deals with the current diagnosis and immunomodulatory treatments, as well as the role of wheat allergens as molecular tools to enhance management and knowledge of this disease. The review also discusses the current status of several salt-soluble proteins (albumins and globulins)--cereal alpha-amylase/trypsin inhibitors, peroxidase, thioredoxin, nonspecific lipid transfer protein, serine proteinase inhibitor, and thaumatin-like protein-as well as salt-insoluble storage proteins (prolamins, namely, gliadins and glutenins) as allergens associated with baker's asthma. Finally, current limitations to using these proteins as molecular tools for diagnosis and immunotherapy are highlighted.


Assuntos
Alérgenos/imunologia , Asma/diagnóstico , Asma/imunologia , Doenças Profissionais/imunologia , Triticum/imunologia , Asma/terapia , Humanos , Imunoterapia , Triticum/química , Hipersensibilidade a Trigo/imunologia , Hipersensibilidade a Trigo/terapia
3.
Artigo em Inglês | MEDLINE | ID: mdl-21721370

RESUMO

BACKGROUND: Pollen is one of the main causes of allergic sensitization. It is not easy to make an etiological diagnosis of pollen-allergic patients because of the wide variety of sensitizing pollens, association with food allergy, and increasing incidence of polysensitization, which may result from the presence of allergens that are common to different species, as is the case of panallergens. OBJECTIVE: To compare the results of skin prick tests (SPT) using whole pollen extract with specific immunoglobulin (Ig) E determination for several allergens (purified panallergens included) in the diagnosis of polysensitized pollen-allergic patients. METHODS: The study sample comprised 179 pollen-sensitized patients who underwent SPT with pollen extract and allergen-specific IgE determination against different allergens. RESULTS: The level of concordance between the traditional diagnostic test (SPT) and IgE determination was low, especially in patients sensitized to the panallergens profilin and polcalcin. In the case of SPT, the results demonstrated that patients who are sensitized to either of these panallergens present a significantly higher number of positive results than patients who are not. However, IgE determination revealed that while patients sensitized to polcalcins are sensitized to allergens from a higher number of pollens than the rest of the sample, this is not the case in patients sensitized to profilins. On the other hand, sensitization to profilin or lipid transfer proteins was clearly associated with food allergy. CONCLUSIONS: Sensitization to panallergens could be a confounding factor in the diagnosis of polysensitized pollen-allergic patients as well as a marker for food allergy. However, more studies are required to further investigate the role of these molecules.


Assuntos
Alérgenos/imunologia , Imunoglobulina E/imunologia , Pólen/imunologia , Rinite Alérgica Sazonal/diagnóstico , Adolescente , Adulto , Idoso , Especificidade de Anticorpos , Antígenos de Plantas/imunologia , Asma/diagnóstico , Asma/etiologia , Asma/imunologia , Proteínas de Ligação ao Cálcio/imunologia , Criança , Conjuntivite Alérgica/diagnóstico , Conjuntivite Alérgica/etiologia , Conjuntivite Alérgica/imunologia , Feminino , Hipersensibilidade Alimentar/diagnóstico , Hipersensibilidade Alimentar/etiologia , Hipersensibilidade Alimentar/imunologia , Humanos , Imunoglobulina E/sangue , Masculino , Pessoa de Meia-Idade , Profilinas/imunologia , Rinite Alérgica Sazonal/etiologia , Rinite Alérgica Sazonal/imunologia , Testes Cutâneos , Especificidade da Espécie , Inquéritos e Questionários , Adulto Jovem
4.
Clin Exp Allergy ; 40(11): 1611-31, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-21039970

RESUMO

In 2009 the journal published in the region of 200 papers including reviews, editorials, opinion pieces and original papers that ran the full gamut of allergic disease. It is instructive to take stock of this output to determine patterns of interest and where the cutting edge lies. We have surveyed the field of allergic disease as seen through the pages of Clinical and Experimental Allergy (CEA) highlighting trends, emphasizing notable observations and placing discoveries in the context of other key papers published during the year. The review is divided into similar sections as the journal. In the field of Asthma and Rhinitis CEA has contributed significantly to the debate about asthma phenotypes and expressed opinions about the cause of intrinsic asthma. It has also added its halfpennyworth to the hunt for meaningful biomarkers. In Mechanisms the considerable interest in T cell subsets including Th17 and T regulatory cells continues apace and the discipline of Epidemiology continues to invoke a steady stream of papers on risk factors for asthma with investigators still trying to explain the post-second world war epidemic of allergic disease. Experimental Models continue to make important contributions to our understanding of pathogenesis of allergic disease and in the Clinical Allergy section various angles on immunotherapy are explored. New allergens continue to be described in the allergens section to make those allergen chips even more complicated. A rich and vibrant year helpfully summarized by some of our associate editors.


Assuntos
Alergia e Imunologia/tendências , Hipersensibilidade/imunologia , Publicações Periódicas como Assunto/tendências , Animais , Asma/imunologia , Bibliometria , Modelos Animais de Doenças , Humanos , Hipersensibilidade/epidemiologia , Hipersensibilidade/terapia , Rinite/imunologia , Medição de Risco , Fatores de Risco , Subpopulações de Linfócitos T/imunologia , Fatores de Tempo
5.
Clin Exp Allergy ; 40(9): 1422-30, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20701616

RESUMO

BACKGROUND: Peach is the most important fruit related to food allergy in the Mediterranean area. Pru p 3, its lipid transfer protein, has been described as the principal allergen responsible for cross-reactivities with other foods and pollen and the severity of clinical symptoms. However, the involvement of other allergenic families cannot be ruled out. Thaumatin-like proteins (TLPs) have been described as food allergen in several fruits, such as apple, cherry, kiwi and banana, and pollen. OBJECTIVE: To identify members of the TLP family in peach fruit and to characterize putative allergens. METHODS: Through two-dimensional (2D) electrophoresis of peach extract and immunodetections with a pool of peach-allergic patients, IgE-binding spots were identified and the corresponding proteins purified and characterized as allergens by in vitro and in vivo assays. Three isoforms, belonging to the TLP family, were purified by different chromatographic systems and characterized by N-terminal amino acid sequences, molecular weight determination (MALDI) and enzymatic activity analysis (beta-1,3-gluconase test and inhibition growth of fungi). In the same way, their IgE-binding capacity and allergenic activity were tested by ELISA assays, basophil activation tests and skin prick tests (SPT). RESULTS: Two peach-TLPs, Pru p 2.0101 and Pru p 2.0201, were identified as IgE-binding spots by 2D electrophoresis. Another peach-TLP, Pru p 2.0301, was cloned and produced as recombinant protein in a yeast system. The three isoforms were purified and characterized as TLPs by immunoblotting with anti-chestnut TLP antibodies and anti-plant N-asparagine complex glycan (anti-cross-reactive carbohydrate determinant). All of them showed beta-1,3-glucanase activity and inhibition of fungal growth. The three TLPs were recognized by around 50% of the sera from 31 patients analysed in ELISA experiments. All three gave a positive response to an SPT and/or in basophil activation experiments. CONCLUSION: Three isoforms, belonging to the TLP family, were identified in peach as principal allergens. Their prevalence, observed in in vitro, ex vivo and in vivo analyses, suggests that they are important allergens and should therefore be included in the routine diagnosis of peach allergy, at least in the Mediterranean area.


Assuntos
Alérgenos/imunologia , Hipersensibilidade Alimentar/imunologia , Proteínas de Plantas/imunologia , Prunus/imunologia , Adolescente , Adulto , Alérgenos/genética , Alérgenos/isolamento & purificação , Sequência de Aminoácidos , Especificidade de Anticorpos , Reações Cruzadas , Feminino , Hipersensibilidade Alimentar/etiologia , Humanos , Imunoglobulina E/sangue , Imunoglobulina E/imunologia , Isoenzimas/genética , Isoenzimas/imunologia , Isoenzimas/isolamento & purificação , Masculino , Pessoa de Meia-Idade , Dados de Sequência Molecular , Proteínas de Plantas/genética , Proteínas de Plantas/isolamento & purificação
6.
J Investig Allergol Clin Immunol ; 20(6): 514-20, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-21243936

RESUMO

BACKGROUND: Peach allergy is prevalent, persistent, and potentially severe and as such is a target for immunotherapy. Our aims were to evaluate the profile of sensitization to Rosaceae allergens and the effects of sublingual peach immunotherapy on immunoglobulin (Ig) E levels to these allergens, to monitor for neosensitizations, and to check if this treatment modified other Rosaceae fruit and pollen-related sensitizations. METHODS: A double-blind placebo-controlled trial was conducted on 56 peach-allergic patients who received, sublingually, a standardized peach extract quantified in mass units of Pru p 3, or placebo for 6 months. IgE to recombinant (r) Mal d 1, rMal d 4, rPru p 3, and natural (n) Art v 3 and skin prick test (SPT) reactivity to Platanus pollen and apple extracts evaluated before treatment (T0), after 1 month (T1) and after and 6 months (T6) were recorded. RESULTS: In total, 18.5% of patients recognized rMal d 1, 83.3%, rPru p 3, 24.1%, rMal d 4, and 25.9% nArt v 3. IgE to Pru p 3 rose from T0 to T1 in both the active group (P = .003) and the placebo group (P = .022), and remained elevated at T6 in the active group (P = .001). IgE to other purified allergens did not change significantly and no relevant neosensitizations were detected. SPT reactions to peach decreased from T0 to T6 in the active group (P < 0.05). Reactivity to peach (T1 and T6) and apple (T6) was lower in the active group than in the control group. CONCLUSIONS: The main allergen was Pru p 3. Changes in rPru p 3 IgE levels and in peach and apple extract SPT were induced by sublingual immunotherapy.


Assuntos
Dessensibilização Imunológica , Hipersensibilidade Alimentar/terapia , Malus/imunologia , Pólen/imunologia , Prunus/imunologia , Administração Sublingual , Adolescente , Adulto , Idoso , Método Duplo-Cego , Hipersensibilidade Alimentar/imunologia , Humanos , Imunoglobulina E/sangue , Pessoa de Meia-Idade , Extratos Vegetais/imunologia , Testes Cutâneos
7.
J Dairy Sci ; 93(7): 3158-65, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20630233

RESUMO

Dietary crude protein (CP) reduction is considered a useful strategy to minimize cow N excretion and NH(3) and N(2)O emissions. The aim of the current work was to relate dietary CP modification to whole-animal N balance and subsequent NH(3) and N(2)O concentrations on a tie-stall barn floor. The effect of temperature on NH(3) and N(2)O concentration was also studied. Three Holstein mid to late lactating cows were confined in separate tie-stalls and randomly assigned to 3 diets with varying CP content [low CP (LCP): 14.1%; moderate CP (MCP): 15.9%; high CP (HCP): 16.9%]. Increasing N intake (from 438.6 to 522.8 g of N/d) improved milk yield (from 22.1 to 24.2 kg/d). However, N use efficiency tended to decrease with increasing dietary CP, as shown by milk N use efficiency (from 23.9 to 22.6%), milk urea N (from 15.4 to 18.7 mg/dL), and excreted N per milk yield unit (from 14.7 to 16.4 g of N/kg of milk). Because of higher N excretion, NH(3) concentration on the dairy barn floor increased (LCP: 7.1mg of NH(3)/m(3); MCP: 10.4 mg of NH(3)/m(3); HCP: 10.8 mg of NH(3)/m(3)). In contrast, N(2)O concentration did not respond to dietary manipulation (mean 1.1mg of N(2)O/m(3)). Temperature, which ranged between 12.6 and 18.0 degrees C, did not affect NH(3) and N(2)O concentrations at the stall level. However, when fecal and urinary samples were incubated at 4, 19, and 29 degrees C in the laboratory, ammonia concentration increased for all diets, especially for the MCP and HCP diets, as the temperature increased. In contrast, N2O concentration was negatively related to increasing temperature. In conclusion, data from the current trial demonstrate that lowering dietary CP minimizes NH(3) concentration on dairy stall floors although temperature controls the rate of NH(3) volatilization. On the other hand, N(2)O concentration is not affected by dietary treatments on tie-stall floors.


Assuntos
Amônia/análise , Bovinos/fisiologia , Dieta/veterinária , Proteínas Alimentares/administração & dosagem , Fezes/química , Óxido Nitroso/análise , Urina/química , Animais , Bovinos/metabolismo , Indústria de Laticínios , Feminino , Abrigo para Animais , Lactação/fisiologia , Leite/química , Leite/metabolismo , Nitrogênio/metabolismo , Distribuição Aleatória , Temperatura
8.
Clin Exp Allergy ; 39(8): 1267-76, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19486028

RESUMO

BACKGROUND: Baker's asthma is an important occupational allergic disease. Wheat lipid transfer protein (LTP) Tri a 14 is a major allergen associated with wheat allergy. No panel of wheat recombinant allergens for component-resolved diagnosis of baker's asthma is currently available. OBJECTIVE: To evaluate the potential role of recombinant Tri a 14 as a novel tool for the diagnosis of baker's asthma, and to test the heat and proteolytic resistance of the wheat LTP allergen. METHODS: A cDNA encoding Tri a 14 was isolated and sequenced, the recombinant allergen produced in Pichia pastoris and purified by chromatographic methods. Physicochemical and immunological comparison of the natural and recombinant forms of Tri a 14 was carried out by N-terminal amino acid sequencing, matrix-assisted laser desorption/ionization mass spectrometry, circular dichroism (CD) analysis, IgE immunodetection, and specific IgE determination and ELISA-inhibition assays using a pool or individual sera from 26 patients with baker's asthma. Thermal denaturation and simulated gastrointestinal digestion of both Tri a 14 forms were checked by spectroscopic and electrophoretic methods, respectively, and biological activity by basophil activation test (BAT). RESULTS: Natural and recombinant Tri a 14 were similarly folded, as indicated by their nearly identical CD spectra and heat denaturation profiles. A high interclass correlation coefficient (0.882) was found between specific IgE levels to both Tri a 14 proteins in individual sera from baker's asthma patients, but a slightly lower IgE-binding potency of rTri a 14 was detected by ELISA-inhibition assays. Natural and recombinant Tri a 14 elicited positive BAT in two and one out of three patients, respectively. Heat denaturation profiles and simulated gastrointestinal digestion assays indicated that Tri a 14 displayed a high heat and digestive proteolytic resistance, comparable to those of peach Pru p 3, the model food allergen of the LTP family. CONCLUSIONS: Recombinant Tri a 14 is a potential tool for baker's asthma diagnosis, based on its physicochemical and immunological similarity with its natural counterpart. Wheat Tri a 14 shows a high thermal stability and resistance to gastrointestinal digestion.


Assuntos
Asma/diagnóstico , Proteínas de Transporte/química , Hipersensibilidade Alimentar/diagnóstico , Temperatura Alta , Doenças Profissionais/diagnóstico , Desnaturação Proteica , Triticum/imunologia , Adulto , Alérgenos/sangue , Alérgenos/química , Alérgenos/imunologia , Asma/imunologia , Proteínas de Transporte/sangue , Proteínas de Transporte/imunologia , Dicroísmo Circular , Feminino , Farinha , Hipersensibilidade Alimentar/imunologia , Humanos , Imunoglobulina E/imunologia , Exposição por Inalação , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/imunologia , Estabilidade Proteica , Proteínas Recombinantes/sangue , Proteínas Recombinantes/química , Proteínas Recombinantes/imunologia , Triticum/química
9.
Clin Exp Allergy ; 39(11): 1764-73, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19877313

RESUMO

BACKGROUND: Allergy diagnosis needs to be improved in patients suffering from pollen polysensitization due to the existence of possible confounding factors in this type of patients. OBJECTIVE: To evaluate new diagnostic strategies by comparing skin responses to pan-allergens and conventional allergenic extracts with specific IgE (sIgE) to purified allergen molecules. METHODS: One thousand three hundred and twenty-nine pollen-allergic patients were diagnosed by a combination of an in vitro method with a panel of 13 purified allergens, including major allergens and pan-allergens, using a high-capacity screening technology (ADVIA-Centaur) and skin prick test (SPT) to pan-allergens and conventional extracts. RESULTS: There was a high concordance (kappa index) between in vitro (sIgE to major allergens) and in vivo (SPT to conventional extracts) methods in patients who were not sensitized to pan-allergens, but SPT with conventional extracts failed to diagnose patients with sensitization to pan-allergens. In patients who were simultaneously sensitized to polcalcins and profilins, there was a duplication both in the number of sensitizations to major allergens and in the years of disease evolution. There was a statistical association between sensitization to profilins and/or lipid transfer proteins and food allergy (P<0.0001). CONCLUSION: The novel diagnostic strategy has proven to be a valuable tool in daily clinical practice. Introduction of routine SPT to pan-allergens is a simple and feasible way of improving diagnostic efficacy. Patients sensitized to pan-allergens should be tested by an adequate panel of allergenic molecules in order to identify the allergens that are responsible for the allergic disease.


Assuntos
Antígenos de Plantas/farmacologia , Profilinas/farmacologia , Rinite Alérgica Sazonal/diagnóstico , Adolescente , Adulto , Antígenos de Plantas/imunologia , Proteínas de Transporte , Criança , Feminino , Humanos , Imunoglobulina E/imunologia , Masculino , Proteínas de Plantas , Profilinas/imunologia , Rinite Alérgica Sazonal/epidemiologia , Rinite Alérgica Sazonal/imunologia , Testes Cutâneos , Espanha/epidemiologia
10.
Artigo em Inglês | MEDLINE | ID: mdl-19274924

RESUMO

BACKGROUND: The in vitro diagnosis of pollen-related food allergy presents low specificity and reproducibility with many conventional extracts. This can be improved using natural purified allergens, recombinant purified allergens, or both. OBJECTIVE: We compared specific immunoglobulin (Ig) E determination (slgE), the basophil activation test (BAT), the histamine release test (HRT), and the cellular allergen stimulation test (CAST) using natural and recombinant allergens in the diagnosis of peach allergy. METHODS: Thirty-two peach allergic patients were studied. Skin prick tests were performed with commercial peach and extract with Mal d 1, nPru p 3, and profilin (nPho d 2). slgE, BAT, CAST, and HRT were determined using rPru p 3, rMal d 3, rBet v 1, rMal d 1, and rMal d 4. RESULTS: Agreement between the techniques was good with all the allergens, except HRT with rMal d 1 and rMal d 4. With rPru p 3, slgE, CAST, BAT, and HRT showed sensitivity values of 88%, 81%, 72%, and 69% and specificity values of 100%, 93%, 97%, and 83%, respectively. In patients with systemic symptoms or contact urticaria, the values were 100%, 85%, 81%, and 81%. In patients with oral allergy syndrome, sensitivity to profilins or homologues of Bet v 1 was detected in 100% of the cases by all the techniques, except by HRT with rMal d 1, which detected 66% of the cases. CONCLUSIONS: The use of single allergens in the in vitro diagnosis of peach allergy by specific IgE determination, BAT, and CAST offers high specificity and sensitivity, with better results than the HRT.


Assuntos
Hipersensibilidade Alimentar/imunologia , Prunus/imunologia , Adulto , Basófilos/imunologia , Feminino , Hipersensibilidade Alimentar/diagnóstico , Liberação de Histamina/imunologia , Humanos , Imunoglobulina E/sangue , Testes Cutâneos
11.
Biochim Biophys Acta ; 1771(6): 781-91, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17349819

RESUMO

Plant non-specific LTPs (lipid transfer proteins) form a protein family of basic polypeptides of 9 kDa ubiquitously distributed throughout the plant kingdom. The members of this family are located extracellularly, usually associated with plant cell walls, and possess a broad lipid-binding specificity closely related to their three-dimensional structure. The nsLTP fold is characterized by a compact domain composed of 4 alpha-helices, firmly held by a network of 4 conserved disulphide bridges. This fold presents a large internal tunnel-like cavity, which can accommodate different types of lipids. nsLTPs are involved in plant defence mechanisms against phytopathogenic bacteria and fungi, and, possibly, in the assembly of hydrophobic protective layers of surface polymers, such as cutin. In addition, several members of the nsLTP family have been identified as relevant allergens in plant foods and pollens. Their high resistance to both heat treatment and digestive proteolytic attack has been related with the induction by these allergens of severe symptoms in many patients. Therefore, they are probably primary sensitizers by the oral route. nsLTP sensitization shows an unexpected pattern throughout Europe, with a high prevalence in the Mediterranean area, but a low incidence in Northern and Central European countries.


Assuntos
Alérgenos/imunologia , Antígenos de Plantas/imunologia , Proteínas de Transporte/imunologia , Hipersensibilidade Alimentar/imunologia , Proteínas de Plantas/imunologia , Plantas/imunologia , Pólen/imunologia , Rinite Alérgica Sazonal/imunologia , Sequência de Aminoácidos/genética , Humanos , Modelos Moleculares , Conformação Proteica , Alinhamento de Sequência
12.
Clin Exp Allergy ; 38(7): 1220-8, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18205857

RESUMO

BACKGROUND: Green kiwifruit allergy is on the rise. However, no surveys testing purified major kiwi allergens have been carried out in a large population, including both kiwi-sensitized [skin prick test (SPT)-positive] and truly kiwi-allergic patients. OBJECTIVE: To isolate major kiwifruit allergens, and to explore their relevance by in vitro and in vivo methods in a large kiwi-sensitized and -allergic population. METHODS: A large group (n=92) of kiwi-sensitized patients with different clinical symptoms were selected, and double-blind, placebo-controlled, food challenges to kiwi were performed in 52 of them. The three major IgE-binding proteins from kiwifruit extracts were isolated and characterized by N-terminal amino acid sequencing and molecular size and glycosylation analysis. The allergenic potency of the three kiwi allergens, and of avocado Pers a 1 as a model allergen associated with the latex-fruit syndrome, was tested by specific IgE quantitation, immunodetection assays and SPTs. RESULTS: The isolated kiwifruit allergens were identified as actinidin Act d 1, glycosylated thaumatin-like Act d 2 and a novel 40 kDa glycoprotein designated as Act d 3.02. Specific IgE to each of the three allergens was found in over 60% of sera from kiwi-sensitized patients, and Act d 1 and Act d 2 induced positive SPT responses in over 50% of the tested patients. A significant link between IgE levels to Act d 1 and Act d 3 and anaphylaxis was uncovered. Avocado Pers a 1 showed an in vitro sensitization prevalence of around 45%, but a low in vivo reactivity. CONCLUSION: Act d 1, Act d 2 and Act d 3 are major allergens in the population studied. Severe symptoms after kiwi ingestion are associated with high IgE levels to Act d 1 and Act d 3.


Assuntos
Actinidia/imunologia , Alérgenos/imunologia , Hipersensibilidade Alimentar/imunologia , Frutas/imunologia , Imunoglobulina E/sangue , Adolescente , Adulto , Alérgenos/isolamento & purificação , Anafilaxia/imunologia , Criança , Quitinases/imunologia , Quitinases/isolamento & purificação , Cisteína Endopeptidases/imunologia , Cisteína Endopeptidases/isolamento & purificação , Método Duplo-Cego , Feminino , Hipersensibilidade Alimentar/diagnóstico , Glicoproteínas/imunologia , Glicoproteínas/isolamento & purificação , Humanos , Masculino , Pessoa de Meia-Idade , Proteínas de Plantas/imunologia , Proteínas de Plantas/isolamento & purificação , Testes Cutâneos
13.
Allergy ; 63(11): 1550-8, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18925892

RESUMO

BACKGROUND: Allergy diagnosis in patients exposed to multiple pollen species is complex and misdiagnosis is often a cause for unsuccessful specific immunotherapy. OBJECTIVE: We studied the sensitization profile of individual allergens (major, minor and pan-allergens) in pollen-sensitized patients in a region with high exposure to olive pollen by investigating the influence of minor allergens on allergic disease and the association between pan- and minor allergen sensitizations. METHODS: A panel of 13 purified allergens, which included the most relevant allergens in the area, as well as minor olive allergens and pan-allergens, were screened using a high-capacity technology (ADVIA-Centaur) in 891 patients. RESULTS: Olive allergy as measured by specific IgE to Ole e 1 was the leading pollinosis in the area. The minor olive allergens Ole e 7 and Ole e 9 were markers of more severe allergic illness. Profilin sensitization was associated mainly with grass allergy, the second most prevalent pollinosis. Salsola kali pollen allergy was the third most common cause of pollinosis in the area. The prevalence of sensitization to the peach allergen Pru p 3, a nonspecific lipid-transfer protein, was notable. CONCLUSION: Epidemiological analysis by component-resolved diagnosis is a new method, which elucidates the interaction between allergen exposure gradient and patient sensitization. High exposure leads to differential sensitization profiles some of which are associated with more severe allergic conditions. Profilin sensitization, related mainly to grass pollinosis, was a marker of more severe grass pollen sensitization.


Assuntos
Alérgenos/imunologia , Olea/imunologia , Pólen/imunologia , Profilinas/imunologia , Rinite Alérgica Sazonal/epidemiologia , Humanos , Imunoglobulina E/sangue , Epidemiologia Molecular , Poaceae/imunologia , Rinite Alérgica Sazonal/diagnóstico , Rinite Alérgica Sazonal/imunologia , Espanha/epidemiologia
14.
Food Chem Toxicol ; 46 Suppl 10: S35-40, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18706962

RESUMO

Assessment of the allergenicity of GMOs involves performing a test with a panel of sera obtained from allergic donors. However, there is no clear indication of how to characterize the above-mentioned panel. The patient selection criteria should take into account the geographical location of patients, the intensity and nature of the environmental allergens in the area and the potential cross-reactivity among allergenic molecules. Sera for serum banks, obtained from patients with demonstrated food allergy, should be subjected to a further characterization by screening with a panel of relevant allergenic molecules. A representative panel of these sera should be used in the allergenicity assessment. Finally, the "in vitro" methodologies should have the adequate specificity and sensitivity, and the integrity of the molecules tested should be guaranteed.


Assuntos
Alérgenos/imunologia , Hipersensibilidade Alimentar/diagnóstico , Soros Imunes/imunologia , Plantas Geneticamente Modificadas/imunologia , Rinite Alérgica Sazonal/diagnóstico , Alérgenos/análise , Especificidade de Anticorpos , Hipersensibilidade Alimentar/imunologia , Alimentos Geneticamente Modificados , Humanos , Imunoglobulina E/imunologia , Rinite Alérgica Sazonal/imunologia
15.
Int Arch Allergy Immunol ; 144(1): 39-43, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17496425

RESUMO

We report on a patient with anaphylaxis from mandarin. Temporal relationship between consumption of the fruit, the presence of positive specific IgE, the positive skin test and the basophil activation test for mandarin strongly supported the diagnosis of an IgE-mediated allergy from mandarin. The lipid transfer protein allergen from mandarin fruit was isolated and characterized. Specific IgE levels and IgE immunodetection data indicated the patient's sensitization to orange (Cit s 3) and mandarin (Cit r 3) lipid transfer protein allergens, as well as to germin-like (Cit s 1) allergen. These results were fully confirmed by skin prick test and basophil activation test (BAT) for lipid transfer proteins, and a BAT for Cit s 1. This case report has several particularities. First, in Central and Northern Europe, it is not widely appreciated that citrus fruits, particularly mandarin, can elicit anaphylaxis. Second, this case report re-emphasizes sensitization from lipid transfer proteins to predispose for severe allergic reactions. Finally, it provides an opportunity to summarize the applications of flow cytometry-assisted analysis and quantification of in vitro activated basophils in the diagnostic approach of anaphylaxis from food.


Assuntos
Alérgenos/imunologia , Alérgenos/isolamento & purificação , Anafilaxia/imunologia , Antígenos de Plantas/imunologia , Citrus/imunologia , Hipersensibilidade Alimentar/imunologia , Adulto , Sequência de Aminoácidos , Anafilaxia/patologia , Antígenos de Plantas/isolamento & purificação , Citrus/química , Feminino , Hipersensibilidade Alimentar/patologia , Humanos , Dados de Sequência Molecular
16.
Leuk Res ; 59: 117-123, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28624713

RESUMO

Three-quarters of the patients with acute lymphoblastic leukemia (ALL), show numerical or structural chromosomal alterations, which are important factors in leukemogenesis. The use of Multiplex Ligation-dependent Probes Amplification (MLPA) has been mainly limited for searching copy number alterations of genes, suggesting that MLPA could detect numerical alterations in cancer. However, the use of MLPA in pediatrics to analyze subtelomeric sequences for aneuploidy detection has not been considered in previous studies. The aim of this study was to identify aneuploidy for the first time using MLPA and correlate the results with karyotype and DNA-index (DI), from preB ALL patients. Forty-two bone marrow samples were analyzed by cytogenetics and flow cytometry to determine the DI. The chromosomal gains and/or losses were detected by the SALSA MLPA P036 Subtelomere Mix 1 probemix®. The chromosomal number matched in 36 out of 42 samples between MLPA and karyotype (R2=0.7829, p=3.7×10-10), 18/42 between MLPA and DI (R2=0.1556, p=0.023), and 20/42 between karyotype and DI (R2=0.1509, p=0.015). MLPA results correlated with karyotype and DI. The use of MLPA led us to identify a gained marker chromosome. Our results indicate that MLPA could be a useful and fast alternative tool for aneuploidy identification in pediatric leukemia.


Assuntos
Aneuploidia , Reação em Cadeia da Polimerase Multiplex/métodos , Leucemia-Linfoma Linfoblástico de Células Precursoras B/genética , Exame de Medula Óssea/métodos , Criança , Aberrações Cromossômicas , Citogenética , Feminino , Citometria de Fluxo , Humanos , Cariotipagem , Masculino
17.
Mol Plant Microbe Interact ; 19(7): 734-46, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16838786

RESUMO

The systemic movement of Cucumber mosaic virus (CMV) in cucumber plants was analyzed. The structure that is translocated and its putative interactions with phloem components were analyzed in phloem exudate (PE) samples, which reflect sieve tubes stream composition. Rate zonal centrifugation and electron-microscopy analyses of PE from CMV-infected plants showed that CMV moves through sieve tubes as virus particles. Gel overlay assays revealed that CMV particles interact with a PE protein, p48. The amino-acid sequence of several tryptic peptides of p48 was determined. Partial amino-acid sequence of p48 showed it was a cucumber homolog of phloem protein 1 (PP1) from pumpkin, with which p48 also shares several chemical properties. PP1 from pumpkin has plasmodesmata-gating ability and translocates in sieve tubes. Encapsidated CMV RNA in PE samples from infected plants was less accessible to digestion by RNase A than RNA in purified CMV particles, a property that was reconstituted by the in vitro interaction of purified CMV particles and protein p48. These results indicate that the interaction with p48 modifies CMV particle structure and suggest that CMV particles interact with the cucumber homolog of PP1 during translocation in the sieve tubes.


Assuntos
Cucumis sativus/metabolismo , Cucumovirus/metabolismo , Proteínas de Plantas/metabolismo , Sequência de Aminoácidos , Cucumis sativus/virologia , Cucumovirus/ultraestrutura , Regulação da Expressão Gênica de Plantas , Dados de Sequência Molecular , Proteínas de Plantas/química , Caules de Planta/metabolismo , Caules de Planta/virologia , RNA Viral
18.
Arch Soc Esp Oftalmol ; 81(10): 611-3, 2006 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-17075765

RESUMO

CLINICAL CASE: We report a case of a 46-year-old woman who developed a tender, painful mass in the left superior eyelid over a period of about 6 months. This was a frontal mucocele with atypical clinical and histopathologic features. DISCUSSION: Most mucoceles arise from the frontal or ethmoidal sinuses. Frontal mucoceles usually cause outward and downward displacement of the globe, and are often associated with fullness in the supero-nasal and medial canthal region and a palpable mass.


Assuntos
Seio Frontal , Mucocele/diagnóstico , Doenças dos Seios Paranasais/diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade
19.
Biochim Biophys Acta ; 869(1): 115-8, 1986 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-3484638

RESUMO

Barley CM-proteins are a group of at least five salt-soluble components (CMa-e) that can be selectively extracted from endosperm with chloroform/methanol mixtures. N-terminal sequences of proteins CMa, CMb and CMc have been determined and found to be homologous to those previously determined for CMd and CMe, an observation which confirms that their structural genes are members of a dispersed multi-gene family. The purified CM-proteins were tested against trypsin and against alpha-amylases from saliva, pancreas, Aspergillus oryzae, Tenebrio molitor and barley. Besides CMe, which was known to be a trypsin inhibitor, CMc also showed antitrypsin activity, whereas CMa was specifically active against the alpha-amylase from T. molitor and no inhibitory activity was found for proteins CMb and CMd. The evolutionary implications of these findings are discussed.


Assuntos
Proteínas de Plantas/farmacologia , Inibidores da Tripsina/isolamento & purificação , alfa-Amilases/antagonistas & inibidores , Sequência de Aminoácidos , Aspergillus oryzae/enzimologia , Hordeum , Humanos , Pâncreas/enzimologia , Saliva/enzimologia
20.
Genetics ; 89(1): 147-56, 1978 May.
Artigo em Inglês | MEDLINE | ID: mdl-17248825

RESUMO

Two hydrophobic endosperm proteins, designated CM3 and CM3', have been purified from appropriate cultivars of tetraploid wheat (T. turgidum) and characterized. They are inherited as though encoded by alleles at a single locus, designated Cm3a and Cm3b, respectively. The net amount of protein molecules has been measured for each of the alleles at one, two and three doses. The amount of CM3' is 50%-65% of that found for CM3. For both, there is a linear gene dosage response. These effects were observed not only in the parental material and the reciprocal F(1) generations, but also in the segregating F(2) generation, indicating that the quantitative difference depends on differences in the structural gene or is controlled by regulatory or modifier gene(s) linked to it.

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